Lex Res Mark Bacunawa Sacay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT297592 Issued in CA

Practice address

15095 Amargosa Rd Ste 106
Victorville, CA 92394-1875

Phone

(760) 245-6495

NPI assigned

Dec 1, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1902443724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ORANGE TREE LN STE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744587",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15095 AMARGOSA RD STE 106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923941875",
            "telephone_number": "760-245-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACAY",
        "first_name": "LEX RES MARK",
        "middle_name": "BACUNAWA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giorgia Ruzzene
• S.M. Bhatt, DDS, Inc
• S.M. Bhatt, DDS, Inc
• Kaamilah Bernice Saafir
• Shabbir Nooruddin Sabir, MD
• Sacred Village Center
• Stanley Joseph Sadorf, O.D.
• Saehoon Jang DDS Inc
• Cindy Saenz
• Edward Saenz

• Physical Therapist in Victorville, CA
• Providers in Victorville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.